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DR. DEREK JOHN SKOUSEN DDS
NPI 1366184947
Dentist in Jbsa-lackland, TX

Active since April 12, 2022
59 DG-AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL STREET, BUILDING 3352, JBSA-LACKLAND, TX 78236(210) 292-6258 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2023, Aug 4, 2022, Apr 12, 2022 (3 updates tracked since 2022).

About Dr. Derek John Skousen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DEREK JOHN SKOUSEN DDS (NPI 1366184947) is an individual dentist in Jbsa-lackland, Texas, licensed in Arizona (D011512) and active in the NPI registry since April 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366184947
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DEREK JOHN SKOUSENCredential: DDS
Location Address59 DG-AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL STREET, BUILDING 3352Jbsa-lackland, TX 78236-5313
Mailing Address8218 Lindeman PassSan Antonio, TX 78254-2286 · (415) 980-9336
Phone(210) 292-6258
Sole ProprietorNo
Enumeration DateApril 12, 2022
Last NPPES UpdateJuly 23, 20253 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1366184947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D011512
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
59 DG-AF POSTGRADUATE DENTAL SCHOOL, Jbsa-lackland, TX 78236
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Secondary Practice Locations 2

Location 12437 E Minton StMesa, AZ 85213-1502 · Phone (415) 980-9336
Location 2300 Twining St Bldg 760Maxwell AFB, AL 36112-6027 · Phone (334) 953-5200

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA RECK DMD
Dentist (General Practice)
59 DG-AF POSTGRADUATE DENTAL SCHOOL, 2133 KLINKER STREET, BUILDING 3352
JBSA LACKLAND, TX 78236
Bexar County (210) 292-7269
DR. IAN JAMESON KAEMMER D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
59 DG-AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL ST. BLDG #3352
JBSA-LACKLAND, TX 78236
Bexar County (210) 292-6258
DR. WILLIAM SKYLER WINSOR DDS
Dentist
59 DG-AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL ST, BLDG 3352
APO, AA 78236
Bexar County (210) 292-6258

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derek Skousen's NPI number?

The NPI number for Derek Skousen is 1366184947. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Derek Skousen located?

Derek Skousen practices at 59 Dg-Af Postgraduate Dental School 2133 Pepperrell Street, Building 3352, Jbsa-Lackland, TX 78236. The listed phone number is (210) 292-6258.

What is Derek Skousen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Derek Skousen was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.